Lupes Drug Store Of Fairfield

LBN: Lupes Drug Store Inc
Lupes Drug Store Of Fairfield is an health care organization with primary practice located at 2035 Black Rock Tpke , Fairfield CT 06825-3550. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lupes Drug Store Inc can be contacted via phone (203) 368-1955, or through Massaro, Craig via phone (203) 368-1955.

Contact Information

Primary practice address
2035 Black Rock Tpke Fairfield CT 06825-3550
Phone: (203) 368-1955
Fax: (203) 384-2551
Website:
Map and Directions
Authorized official contact:
Name: Massaro, Craig
Phone: (203) 368-1955

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0000860 Connecticut
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1932203510
LBN Legal business name Lupes Drug Store Inc
DBA Doing business as Lupes Drug Store Of Fairfield
Authorized official Massaro, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 19th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932203510 NPPES
Other 1998247 PK
MEDICAID 004030771 PK
MEDICAID 004017943 PK

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